Pediatric appendicitis in a developing country: what are the clinical predictors and outcome of perforation?
J Trop Pediatr
; 60(6): 409-14, 2014 Dec.
Article
em En
| MEDLINE
| ID: mdl-25063462
ABSTRACT
OBJECTIVES:
This study explored the risk factors and outcomes associated with perforation in children who underwent emergency appendicectomies.METHODS:
A retrospective cross-sectional study was conducted on children <13 years old who underwent appendicectomies in a Malaysian hospital in 2007.RESULTS:
One hundred thirty-four children underwent appendicectomies of which 118 were confirmed histologically. Sixty-one (52%) were perforated. Children with perforation had significantly longer duration of symptoms (p < 0.001), higher white cell count and absolute neutrophil counts (p = 0.013), with longer intra-operative period (p < 0.001) and post-operative recovery period (p < 0.001). Of the 52 samples of pus collected intra-operatively, 37 (71.1%) yielded positive cultures that were predominantly Escherichia coli (n = 27). Both the patients who had Staphylococcus aureus cultured from pus collected intra-operatively had significant pyogenic complications (scrotal pyocele and intra-abdominal abscess).CONCLUSION:
Children whose appendicitis were perforated had longer duration of symptoms, higher white cell counts and absolute neutrophil counts. Those with S.aureus cultured from intra-operative pus appeared to suffer more complications.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Apendicectomia
/
Apendicite
/
Abscesso Abdominal
/
Perfuração Intestinal
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Child
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Child, preschool
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Female
/
Humans
/
Infant
/
Male
Idioma:
En
Revista:
J Trop Pediatr
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Malásia